| NPI | 1730680323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAEHYUN KIM President 510-508-8653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e5028) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |